CV Risk Assessment Tool

Clinical Decision Support — Does Not Replace Clinical Judgment

About This Tool

Who it's for: Nurse practitioners and physicians.

What it's based on: The 2018 ACC/AHA Cholesterol Guideline (risk enhancers), ATP III criteria (metabolic syndrome), and the AHA PREVENT equations as recommended by the 2026 Dyslipidemia Guideline for formal risk estimation.

How to use it: Enter the patient's data to generate a cardiovascular risk assessment and a referral-routing recommendation — NP-level management, physician or PCP, or cardiology — with the appropriate urgency. For increased-risk, non-urgent patients, the tool also flags when the Path provider should order a CAC or Cleerly CCTA directly (no physician visit required first), with a brief contraindication screen.

Developed by Amy Killen, MD · July 2026 · Rev. Aug 2026 (NP-ordered CCTA/Cleerly pathway)

1 Patient Information

Age

Sex

Race/Ethnicity

BMI (kg/m²)

Waist Circumference (inches) optional

3 Lab Values

Total Cholesterol (mg/dL)

LDL-C (mg/dL) <100 / 100-159 / ≥160

HDL-C (mg/dL) <40M/50F / 40-59 / ≥60

Triglycerides (mg/dL) <150 / 150-199 / ≥200

ApoB (mg/dL) <90 / 90-129 / ≥130

Lp(a) (mg/dL) <30 / 30-49 / ≥50

hsCRP (mg/L) <1.0 / 1.0-1.9 / ≥2.0

Fasting Insulin (uIU/mL) <8 / 8-12 / >12

A1c (%) <5.7 / 5.7-6.4 / ≥6.5

Homocysteine (umol/L) <10 / 10-15 / ≥15

Uric Acid (mg/dL) <6 / 6-7 / >7

Fasting Glucose (mg/dL) <100 / 100-125 / ≥126

eGFR (mL/min) ≥60 / 30-59 / <30

4 Imaging & Fitness

Enter these five items exactly as they appear on the Vasolabs report. Page 1 has three cards (Vascular Age, Carotid Intima-Media Thickness Test (C-IMT), Largest Plaque), the Artery Blockage diagram (Patient Right and Patient Left: Internal carotid artery (ICA), External carotid artery (ECA), Bulb, Common carotid artery (CCA)), and Your percentile score. Page 3 lists each plaque by artery with Plaque size (mm), Artery blockage and Plaque Type.

Vascular Age (Vasolabs page 1, "Vascular Age" card)

Your percentile score (Vasolabs page 1, C-IMT section; type the number only, e.g. 89 for "89th")

Leave blank if no Vasolabs report.

Artery Blockage: arteries with plaque noted (Vasolabs page 1)

Count every artery on the diagram (ICA, ECA, Bulb, CCA on both Patient Right and Patient Left) that shows a blockage percentage instead of "no plaque noted".

Plaque Type (Vasolabs "Largest Plaque" card, page 1, or "Plaque Type" column, page 3)

If more than one plaque type is listed on page 3, choose the highest-risk one: Soft, then Heterogeneous, then Calcified.

Artery Blockage above 20%? (Vasolabs page 1 diagram or page 3 "Artery blockage" column)

C-IMT Notes (C-IMT mm value, Largest Plaque mm, Vasolabs inconsistencies, prior results, etc.)

VO2 Max (mL/kg/min)

A Risk Enhancers

B Estimated ASCVD Risk Category

Formal risk should be calculated with the AHA PREVENT equations (10- and 30-year total CVD, ages 30–79) at professional.heart.org/en/guidelines-and-statements/prevent-calculator — the standard recommended by the 2026 Dyslipidemia Guideline, replacing the older Pooled Cohort Equations. This tool provides a category estimate based on risk-factor burden, not a formal percent.

C Decision & Routing

D Specific Recommendations

E Scope & Referral Summary